We carried out a review of the data available to us about Greenline Healthcare Group Ltd on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Greenline Healthcare Group Ltd, you can give feedback on this service.
Greenline Healthcare Group Limited is a domiciliary care agency providing personal care to older and younger adults. The service supported 5 people at the time of the inspection. Everyone who used the service received personal care. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
Medicines were managed safely. Medicine administration records provided detailed instructions in how to give prescribed medicines safely. Risks were assessed and risk reduction measures in place. Incidents were reported and reviewed by the management team in a timely manner to ensure lessons were learnt. Staff were recruited safely and there were enough staff to ensure people received safe support according to their needs and preferences. There was an updated infection control policy in place and staff worked in line with this.
Care was delivered in line with best practice guidance and the law. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff received training in a variety of areas. Specialist training was sought following our last inspection to ensure people received safe and effective support. People’s nutrition and hydration needs were assessed, and support provided in line with their individual needs.
The management team had embedded quality monitoring systems and audits in place picked up on issues in a timely manner. The registered manager was aware of their responsibility to notify CQC of certain events. People and staff told us the registered manager was open and honest, listened when issues were raised and worked in partnership with others.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update: The last rating for this service was requires improvement (published 5 August 2022) and there were multiple breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Greenline Healthcare Group Ltd on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Greenline Healthcare Group Limited is a domiciliary care agency providing personal care to older and younger adults. The service supported six people at the time of the inspection. Everyone who used the service received personal care. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
Medicines were not always managed safely. Medicine records did not give adequate instructions to staff to ensure medicines were administered safely. Risks were not always assessed in people’s homes to ensure they could be supported safely. We found little evidence incidents had always been investigated and acted upon in a timely manner as auditing had only recently been implemented. Recruitment of staff needed strengthening to ensure all people were recruited safely. People told us they were supported by staff who knew them well. Infection control measures were in place to protect people from the risk of infection.
The registered manager had recently introduced quality monitoring systems however audits in place had not picked up the issues we found during the inspection. Quality assurance systems in place required further development and embedding to ensure all issues were picked up in a timely manner. People and staff told us the registered manager was approachable, listened when issues were raised and worked in partnership with others.
Care was not always delivered in line with best practice guidance and the law. Care plans did not demonstrate people were supported to have maximum choice and control of their lives, staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. People’s nutritional needs were not always assessed, risks associated with eating and drinking were not always managed safely. Staff were trained in areas such as safeguarding, moving and handling and infection control.
People and their relatives told us they were involved in planning their care. However, we found little evidence within care records to document people had been involved in planning and developing care plans. Further work was required to ensure care plans detailing end of life care wishes were assessed and documented. There was a complaints policy in place and people and staff told us all concerns were dealt with by the registered manager.
People told us they were provided with consistently kind and caring support. Care was delivered at people’s preferred times and people told us they received support from caring staff who respected their wishes. Records demonstrated people were treated with dignity and respect.
Rating at last inspection
This service was registered with us on 9 October 2020 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We have found evidence that the provider needs to make improvements. Please see the safe, effective, responsive and well-led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
Enforcement and Recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to assessing risk, managing medicines, gaining consent and management of the service at this inspection.
Please see the action we have told the provider to take at the end of this report.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.